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已发表论文
医护协作对老年患者总体满意度的影响：响应性和环境的有调节中介模型
Authors Wang H, Wang H, Guan SN, Li J
Received 6 November 2025
Accepted for publication 14 January 2026
Published 1 February 2026 Volume 2026:20 577575
DOI https://doi.org/10.2147/PPA.S577575
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Johnny Chen
Huilin Wang,1,2 Hao Wang,1 Si nan Guan,2 Jing Li1
1Outpatient Department of Peking University First Hospital, Beijing, People’s Republic of China; 2School of Nursing, Peking University, Beijing, People’s Republic of China
Correspondence: Jing Li, Outpatient Department of Peking University First Hospital, Xishiku Road, Xicheng District, Beijing, 100034, People’s Republic of China, Tel/Fax +86 010-83572020, Email xiaojinghaier@163.com
Objective: Older patients often encounter challenges during outpatient visits that adversely affect their overall satisfaction. This study tested a moderated mediation model to examine how doctor-nurse collaboration influences satisfaction through responsiveness to patient needs, and how the outpatient environment moderates this process within geriatric care settings.
Methods: An online cross-sectional survey utilizing a 5-point Likert scale was conducted to assess patient satisfaction by recruiting 9133 older patients (51.6% male). Descriptive statistics were used to analyze the factors associated with satisfaction. After controlling for confounders such as title of registered doctor, gender, and educational status, a moderated mediation analysis was performed using Stata 18.0.
Results: Both dimensions of doctor-nurse collaboration, interprofessional collaboration (X1) and attitudinal alignment (X2), directly enhanced patient satisfaction (β = 0.065, p < 0.001). Responsiveness to patient needs mediated this relationship (β = 0.253, p < 0.001). The outpatient environment significantly moderated the effect of collaboration on responsiveness in both the model1 (β = 0.288, p < 0.001) and the model2 (β = 0.289, p < 0.001).
Conclusion: Effective collaboration between doctors and nurses is essential for addressing the professional and emotional needs of older patients, thereby improving their overall satisfaction. Moreover, integrating the outpatient environment into the doctor-patient collaboration model highlights the importance of considering physical settings and interpersonal dynamics as interrelated components to comprehensively understand patient satisfaction and its determinants.
Keywords: older patients, doctor-nurse collaboration, responsiveness to patient needs, outpatient environment, overall satisfaction, moderated mediation model
1Outpatient Department of Peking University First Hospital, Beijing, People’s Republic of China; 2School of Nursing, Peking University, Beijing, People’s Republic of China
Correspondence: Jing Li, Outpatient Department of Peking University First Hospital, Xishiku Road, Xicheng District, Beijing, 100034, People’s Republic of China, Tel/Fax +86 010-83572020, Email xiaojinghaier@163.com
Objective: Older patients often encounter challenges during outpatient visits that adversely affect their overall satisfaction. This study tested a moderated mediation model to examine how doctor-nurse collaboration influences satisfaction through responsiveness to patient needs, and how the outpatient environment moderates this process within geriatric care settings.
Methods: An online cross-sectional survey utilizing a 5-point Likert scale was conducted to assess patient satisfaction by recruiting 9133 older patients (51.6% male). Descriptive statistics were used to analyze the factors associated with satisfaction. After controlling for confounders such as title of registered doctor, gender, and educational status, a moderated mediation analysis was performed using Stata 18.0.
Results: Both dimensions of doctor-nurse collaboration, interprofessional collaboration (X1) and attitudinal alignment (X2), directly enhanced patient satisfaction (β = 0.065, p < 0.001). Responsiveness to patient needs mediated this relationship (β = 0.253, p < 0.001). The outpatient environment significantly moderated the effect of collaboration on responsiveness in both the model1 (β = 0.288, p < 0.001) and the model2 (β = 0.289, p < 0.001).
Conclusion: Effective collaboration between doctors and nurses is essential for addressing the professional and emotional needs of older patients, thereby improving their overall satisfaction. Moreover, integrating the outpatient environment into the doctor-patient collaboration model highlights the importance of considering physical settings and interpersonal dynamics as interrelated components to comprehensively understand patient satisfaction and its determinants.
Keywords: older patients, doctor-nurse collaboration, responsiveness to patient needs, outpatient environment, overall satisfaction, moderated mediation model